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dc.contributor.authorLoscos, Jordi
dc.contributor.authorValldeperas, X.
dc.contributor.authorLangohr, Klaus
dc.contributor.authorParera, A.
dc.contributor.authorRomera, Pau
dc.contributor.authorSabala, Antoni
dc.contributor.authorde la Cámara, Javier
dc.contributor.otherUniversitat Politècnica de Catalunya. Departament d'Estadística i Investigació Operativa
dc.date.accessioned2015-09-28T13:00:50Z
dc.date.available2016-10-31T01:30:39Z
dc.date.created2015-10-01
dc.date.issued2015-10-01
dc.identifier.citationLoscos, J., Valldeperas, X., Langohr, K., Parera, A., Romera, P., Sabala, A., de la Cámara, J. Deep sclerectomy with supraciliary hema implant (Esnoper (R) V-2000): results and complications. "International Ophthalmology", 01 Octubre 2015, vol. 35, núm. 5, p. 693-699.
dc.identifier.issn1573-2630
dc.identifier.urihttp://hdl.handle.net/2117/77119
dc.description.abstractThe aim was to report the results of deep sclerectomy (DS) with supraciliary hema implant and the influence of the surgical complications on intraocular pressure (IOP). Forty-eight eyes of 41 patients with open angle glaucoma (OAG), who underwent DS with supraciliary hema implant (Esnoper(A (R)) V-2000), were included in this study. A significant IOP reduction was observed, changing from a preoperative mean of 24.6 +/- A 6.33 mmHg to 16.5 +/- A 4.4 mmHg (p < 0.001) at 12 months and 16.1 +/- A 3.4 mmHg (p < 0.001), at 24 months. Similarly, a significant reduction in the number of glaucoma drugs needed was observed, varying from 2.71 to 0.22 (p < 0.001) and 0.4 (p < 0.001), 1 and 2 years after surgery. Goniopuncture with the Nd:Yag Laser was performed in 30 eyes (62.5 %) with a mean time between the surgery and the procedure of 150 days, producing a mean IOP reduction of 4.0 mmHg (p < 0.001). The main intraoperative complications were microperforation of the trabeculodescemetic membrane (TDM) in 1 eye (2.08 %) The main early postoperative complications were seidel at 24 h in 11 eyes (22.91 %), hyphema in 7 eyes (14.58 %), choroidal detachment in 3 eyes (6.25 %) with macular folds in 2 (4.16 %) and need for additional mitomycin injections in 2 eyes (4.16 %). All these complications were spontaneously resolved. No correlation between these complications and final IOP was found, but a significant correlation between the presence of hyphema and higher IOP 24 months postoperatively (p = 0.048) was observed. DS with supraciliary hema implant is a safe and effective technique for the management of OAG. The presence of hyphema during the first week after the surgery could be considered as a negative prognostic factor in DS with supraciliary implantation.
dc.format.extent7 p.
dc.language.isoeng
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.subjectÀrees temàtiques de la UPC::Matemàtiques i estadística::Matemàtica aplicada a les ciències
dc.subject.lcshBiomathematics
dc.subject.otherDeep sclerectomy
dc.subject.otherSupraciliary hema implant
dc.subject.otherHyphema
dc.subject.otherTRABECULECTOMY
dc.subject.otherGLAUCOMA
dc.titleDeep sclerectomy with supraciliary hema implant (Esnoper (R) V-2000): results and complications
dc.typeArticle
dc.subject.lemacBiologia -- Models matemàtics
dc.contributor.groupUniversitat Politècnica de Catalunya. GRBIO - Grup de Recerca en Bioestadística i Bioinformàtica
dc.identifier.doi10.1007/s10792-015-0037-y
dc.description.peerreviewedPeer Reviewed
dc.subject.amsClassificació AMS::92 Biology and other natural sciences
dc.relation.publisherversionhttp://link.springer.com/article/10.1007%2Fs10792-015-0049-7
dc.rights.accessOpen Access
local.identifier.drac15471509
dc.description.versionPostprint (author’s final draft)
local.citation.authorLoscos, J.; Valldeperas, X.; Langohr, K.; Parera, A.; Romera, P.; Sabala, A.; de la Cámara, J.
local.citation.publicationNameInternational Ophthalmology
local.citation.volume35
local.citation.number5
local.citation.startingPage693
local.citation.endingPage699


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